Individual
MR. CONNOR MARCEL CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4539 N 22ND ST # 4623, PHOENIX, AZ 85016-4639
(999) 999-9999
Mailing address
4539 N 22ND ST # 4623, PHOENIX, AZ 85016-4639
(602) 887-1184
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
204807
CA
2084P0800X
Psychiatry Physician
Primary
62326
AZ
2084P0800X
Psychiatry Physician
V9465
TX
Other
Enumeration date
04/25/2017
Last updated
12/09/2025
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